{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:21Z","timestamp":1740126861051,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose To compare the effect of implanting the capsular tension ring (CTR) before\n          or after a toric intraocular lens (IOL) on rotational stability in patients with cataract\n          and astigmatism.<\/jats:p><jats:p>\n          Methods This is a randomized retrospective study. Patients who underwent\n          phacoemulsification combined with toric IOL implantation due to cataract and astigmatism\n          between February 2018 and October 2019 were enrolled in the study. Group 1 consisted of 53\n          eyes of 53 patients in whom the CTR was placed into the capsular bag after the\n          implantation of the toric IOL. On the other hand, group 2 consisted of 55 eyes of 55\n          patients in whom the CTR was placed into the capsular bag before implantation of the toric\n          IOL. The two groups were compared in terms of preoperative and postoperative astigmatism,\n          uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), and postoperative\n          IOL rotation degree.<\/jats:p><jats:p>\n          Results There were no significant differences between the two groups related to\n          age and sex (p\u2009&gt;\u20090.05) or the mean preoperative spherical value, UCVA, BCVA, and\n          corneal astigmatism (p\u2009&gt;\u20090.05). Although the mean postoperative residual astigmatism of\n          the first group (\u2212\u20090.29\u2009\u00b1\u20090.26) was lower than that of the second (\u2212\u20090.43\u2009\u00b1\u20090.31), the\n          difference was not statistically significant (p\u2009=\u20090.16). The mean degree of rotation was\n          0.75\u2009\u00b1\u20092.66\u00b0 in group 1 and 2.90\u2009\u00b1\u20096.57\u00b0 in group 2, which was found to be statistically\n          significant (p\u2009=\u20090.02).<\/jats:p><jats:p>\n          Conclusion The implantation of CTR after a toric IOL provides further rotational\n          stability and more effective astigmatic correction.<\/jats:p>","DOI":"10.1055\/a-1964-7552","type":"journal-article","created":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T00:02:51Z","timestamp":1676592171000},"page":"186-191","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Capsular Tension Ring Implantation before vs. after Toric\n          Intraocular Lens for Rotational Stability"],"prefix":"10.1055","volume":"241","author":[{"given":"Servet","family":"Cetinkaya","sequence":"additional","affiliation":[{"name":"Ophthalmology, Private Konyagoz Hospital, Konya, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7980-7311","authenticated-orcid":false,"given":"Fikret","family":"Ucar","sequence":"additional","affiliation":[{"name":"Ophthalmology, Private Konyagoz Hospital, Konya, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,2,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"162","DOI":"10.4103\/2008-322X.183924","article-title":"Three Methods for Correction of Astigmatism during Phacoemulsification","volume":"11","author":"H Mohammad-Rabei","year":"2016","journal-title":"J Ophthalmic Vis Res"},{"key":"ref2","first-page":"198","article-title":"Comparison of VERION Image-guided System with Manual Marking in Limbal Relaxing Incision\n          to Reduce Astigmatism in Eyes with Cataract","volume":"60","author":"S Cetinkaya","year":"2020","journal-title":"Haydarpasa Numune Med J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.jcrs.2008.09.027","article-title":"Prevalence of corneal astigmatism before cataract surgery","volume":"35","author":"T Ferrer-Blasco","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/00055735-200002000-00007","article-title":"Astigmatism and toric intraocular lenses","volume":"11","author":"C Novis","year":"2000","journal-title":"Curr Opin Ophthalmol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/S0886-3350(13)80232-5","article-title":"Toric intraocular lenses: correcting astigmatism while controlling axis shift","volume":"20","author":"K Shimizu","year":"1994","journal-title":"J Cataract Refract Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/ICU.0000000000000118","article-title":"All about capsular tension rings","volume":"26","author":"C H Weber","year":"2015","journal-title":"Curr Opin Ophthalmol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"819","DOI":"10.4103\/0301-4738.138294","article-title":"Combined special capsular tension ring and toric IOL implantation for management of\n          post-DALK high regular astigmatism with subluxated traumatic cataract","volume":"62","author":"A K Kandar","year":"2014","journal-title":"Indian J Ophthalmol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1080\/08820538.2016.1247181","article-title":"Combined Special Capsular Tension Ring and Toric IOL Implantation for Management of\n          Astigmatism and High Axial Myopia with Cataracts","volume":"33","author":"Y Zhao","year":"2018","journal-title":"Semin Ophthalmol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"411","DOI":"10.4103\/ijo.IJO_875_17","article-title":"Comparative evaluation of rotational stability and visual outcome of toric intraocular\n          lenses with and without a capsular tension ring","volume":"66","author":"A Rastogi","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"e0228999","DOI":"10.1371\/journal.pone.0228999","article-title":"Effects of capsular tension ring on surgical outcomes of premium intraocular lens in\n          patients with suspected zonular weakness","volume":"15","author":"T Miyoshi","year":"2020","journal-title":"PLoS One"},{"key":"ref11","first-page":"573","article-title":"Long-term rotational stability and visual outcomes of a single-piece hydrophilic acrylic\n          toric IOL: a 1.5-year follow-up","volume":"10","author":"B Gy\u00f6ngy\u00f6ssy","year":"2017","journal-title":"Int J Ophthalmol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1038\/eye.2009.150","article-title":"Miyake-Apple study of the rotational stability of the AcrySof Toric intraocular lens\n          after experimental eye trauma","volume":"24","author":"F AS Pereira","year":"2010","journal-title":"Eye (Lond)"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/S0886-3350(13)80232-5","article-title":"Toric intraocular lenses: correcting astigmatism while controlling axis shift","volume":"20","author":"K Shimizu","year":"1994","journal-title":"J Cataract Refract Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1016\/j.jcrs.2008.05.031","article-title":"Astigmatism management in cataract surgery with the AcrySof toric intraocular lens","volume":"34","author":"N JC Bauer","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"551","DOI":"10.3928\/1081597X-20120703-03","article-title":"Comparison of the visual outcomes and OPD-scan results of AMO Tecnis toric and Alcon\n          AcrySof IQ toric intraocular lenses","volume":"28","author":"T B Ferreira","year":"2012","journal-title":"J Refract Surg"},{"key":"ref16","first-page":"796","article-title":"[Evaluation of Postoperative Astigmatism Correction and Postoperative Rotational\n          Stability of Two Toric Intraocular Lenses]","volume":"234","author":"M Grohlich","year":"2017","journal-title":"Klin Monbl Augenheilkd"},{"key":"ref17","first-page":"32","article-title":"Combining a CTR with a plate haptic toric IOL","author":"W F Wiley","year":"2012","journal-title":"Cataract Refract Surg Today"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.jcrs.2015.04.004","article-title":"Rotation stability of a toric intraocular lens with a second capsular tension ring","volume":"41","author":"O Sagiv","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1186\/s12886-019-1147-5","article-title":"Rotation of a toric intraocular lens with and without capsular tension ring: data from a\n          multicenter non-inferiority randomized clinical trial (RCT)","volume":"19","author":"U Hahn","year":"2019","journal-title":"BMC Ophthalmol"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"378","DOI":"10.18240\/ijo.2021.03.07","article-title":"Comparative evaluation of rotational stability of toric IOLs with four-eyelet vs.\n          two-eyelet capsular tension rings in eyes with high myopia","volume":"14","author":"H M Jiang","year":"2021","journal-title":"Int J Ophthalmol"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1080\/08820538.2021.1933545","article-title":"Can toric IOL rotation be minimized? Toric IOL-Capsular Tension Ring suturing technique\n          and its clinical outcomes","volume":"37","author":"F Ucar","year":"2022","journal-title":"Semin Ophthalmol"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1964-7552.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T17:15:18Z","timestamp":1730826918000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1964-7552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,16]]},"references-count":21,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2024,2,27]]},"published-print":{"date-parts":[[2024,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1964-7552","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"type":"print","value":"0023-2165"},{"type":"electronic","value":"1439-3999"}],"subject":[],"published":{"date-parts":[[2023,2,16]]}}}